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1760865802
DESTINY WALESIAK
BORGER, TX
NPI
1760865802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 212171)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- DESTINY WALESIAK COTA
600 W 3RD ST
BORGER, TX 79007-4008
Phone number: 806-274-9856
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Mailing Address
-- DESTINY WALESIAK COTA
314 CORONADO ST
FRITCH, TX 79036-8162
Phone number: 806-886-1789
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